Factors Related to Career Commitment among Home Visiting Nurses in Japan.

This study aimed to identify factors related to career commitment among home visiting nurses in Japan. A questionnaire survey of 1,423 home visiting nurses. Items on the questionnaire were Individual factors, work environment, work life balance, burnout (MBI-GS) and career commitment. Multiple regression analysis was performed using career commitment as the objective variable. There were 569 valid responses (40.0%), and 559 (39.3%), excluding male respondents, were analyzed. The multiple regression analysis identified 8 items as related to career commitment of home visiting nurses; 1) A sense of reward in nursing at patient homes, 2) Cynicism (MBIGS), 3) Satisfaction with own private life, 4) Person to respect present in the workplace, 5) To be able to provide and apply information about social resources and programs in a timely manner, 6) Feeling uneasy about performing medical treatment alone, 7) Professional efficacy (MBI-GS), 8) To have a good relationships with physicians. The career commitment of home visiting nurses was closely related to "feeling of rewards at patient homes" and "cynicism (burnout)". From this, it would seem necessary to support home visiting nurses to make it feel rewarding to perform the home visit nursing and to have support arrangements to maintain this. In addition, satisfaction in private life is also a related factor, and in order to raise career commitment, it is necessary to consider the viewpoint of work life balance including provisions for holidays. [ABSTRACT FROM AUTHOR]